Sandra Mallen

• Responsible for 3 freestanding emergency departments in the DFW sector.
• Developed and led QAPI initiatives for all facilities.
• Interacted effectively with clinical staff and patients by using active listening and interpersonal skills.
• Developed, implemented, revised, and evaluated policies and procedures.
• Worked with nurse managers to develop nursing staff through education, evaluation, performance management, quality control through chart audits daily and competency improvement.
• Facilitate hiring of qualified personnel by interview applicants and making recommendations for employment.
• Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
• Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.

• Assisted in organizing and overseeing assignments to drive operational excellence.
• Set aggressive targets for employees to drive company success and strengthen motivation.
• Planned, created, tested and deployed programs to produce high quality systems to meet and exceed customer expectations.
• Launched quality assurance practices for each phase of development
• Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
• Managed over 100 employees with various personalities and from different cultures for large freestanding emergency departments.

• Reduced spending costs of the facility to maintain budget requirements
• Supervised & provided support for all daily clinical operations
• Performed chart audits and utilization review both concurrently and post discharge to ensure optimal patient results & adherence to required standards and guidelines
• Discharge planning for continued care for the detox patients upon discharge
• Marketing activities to grow current and new business lines through development of relationships within the community; responsible for 4 hospitals in the DFW area
• Promoted to CNO and then also CAO
• Collaborated with departmental leaders and company executives to set and achieve financial goals; new client and client retention targets while striving to optimize customer satisfaction
• Served & lead many corporate committees to gain greater insight into specific areas of company operations and suggest improvements in standard operating protocols
• Implemented new software to track, trend and maintain supply chain management which resulted in cost savings for the facility of >$200K in the first month after implementing..
• Leveraged data, implemented new technology and revised procedures to support change and improve quality measures.
• Partnered with business leaders to achieve financial performance, expand clients and services and foster inclusive culture for all employees.

• Performed timely daily chart audits in collaboration with billing to identify trends & ensuring documentation by nursing and physicians met requirements for maximum reimbursement while providing superior patient care
• Assisting in nursing policy development, implementation, and compliance
• Developed new Quality Assurance programs and audit criteria to become CIHQ compliant
• Performed daily utilization and quality audits.

• Responsible for day-to-day operations of emergency department, providing leadership guidance while maintaining safety, and most efficient care to patients
• Ensure swift and efficient patient throughput from emergency department to final disposition of admission, transfer, or home
• Trauma staff educator and training; Quality Assurance of trauma documentation with 100% review of charting to identify trends
• Created a more robust QA program with high remarks from recent State Trauma Review for reinstatement of Level IV status.
• Provide ongoing case management to patients to implement appropriate treatment plan, adhere to quality models and maximize utilization of services needed to achieve optimal outcomes.
• Implemented new policies and educated staff on changes.

• Managed teams of over 40 home health nurses responsible for home health visits upon discharge from hospital and ongoing; IV Infusion team and phone triage team for after hour care.
• Performed phone triage during office hours to assist with discharge planning for patients from hospitals, to care facilities and those needing home health resources
• Collaborate with DME to ensure timely delivery of patient care needs are met timely and accurately.
• Ensured high quality care was provided by chart audits and reporting issues and developing corrective action plans for continuous improvement.

• Promoted within the department of the busiest Level 1 Trauma Center in the state of Arizona
• Real time clinical expert & problem solver for all ED staff, patients and family members
• Manage operational budget
• Startup of Trauma program to obtain Level I state designation; policy drafting; initiating and training staff on trauma protocols and processes
• Concurrent & post review and education of all trauma charts.

• Developed QA program which was nonexistent at time of hire; full QA review of charting with feedback provided to staff for improvement monthly and in real time as needed.
• Assisted in the implementation and training of new EMR documentation system
• Performed wide range of specialized functions and complex assessments, diagnoses, therapies and emergency treatment of patients transported by rotor-wing and fixed-wing aircraft.

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Provided direct patient care, stabilized patients, and determined next course of action.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care by performing daily chart audits for quality control.

Status: in process

Status: Graduated with honors 2010

Status: Graduated with honors 1996